Jacqueline Sophia Kontorov, MS CCC-SLP, TSSLD
Speech-Language Pathologist, in Brooklyn, NY. Individual provider (NPI-1).
NPI number1962017335
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1962017335
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Sophia Kontorov
- Credential
- MS CCC-SLP, TSSLD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2020
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 031192 | NY | Yes |
Practice location
21 Hinckley PlBrooklyn, NY 11218-3309
Phone 929-397-9200
Mailing address
21 Hinckley PlBrooklyn, NY 11218-3309
Phone 917-562-7272
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